Mr Robert Clyde Wyatt, CRNA | |
2801 Medical Center Dr, Pocahontas, AR 72455-9436 | |
(870) 972-8053 | |
(870) 972-8053 |
Full Name | Mr Robert Clyde Wyatt |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 Years |
Location | 2801 Medical Center Dr, Pocahontas, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568518694 | NPI | - | NPPES |
115446701 | Medicaid | AR | |
915192819 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C00474 CRNA (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Mercyone North Iowa Medical Center | Mason city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelinc Anesthesia V, P.a. | 8921359712 | 30 |
North Iowa Mercy Clinics | 7810809076 | 247 |
Entity Name | Johnson Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794525 PECOS PAC ID: 1658360284 Enrollment ID: O20040702000283 |
Entity Name | North Arkansas Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275523912 PECOS PAC ID: 5193615896 Enrollment ID: O20060623000242 |
Entity Name | Baxter County Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
Entity Name | Lifelinc Anesthesia V, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Clyde Wyatt, CRNA 1210 W Country Club Ter, Jonesboro, AR 72401-4374 Ph: (870) 972-1605 | Mr Robert Clyde Wyatt, CRNA 2801 Medical Center Dr, Pocahontas, AR 72455-9436 Ph: (870) 972-8053 |